Active NPI
Hillsides
- Community/Behavioral Health Agency
- Los Angeles, CA
National Provider Identifier
1619217841
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- HILLSIDES
- Practice address
- 815 Colorado Blvd
3Rd Floor
Los Angeles, CA 90041-1720 - Phone
- (323) 543-2800
- NPI assigned
- Feb 25, 2013
- Last updated
- Jan 5, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Stacey Roth, LCSW
- Title
- Chief Executive Officer
- Phone
- (323) 254-2274
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
815 Colorado Blvd
3Rd Floor
Los Angeles, CA 90041-1720
Mailing address
815 Colorado Blvd
3Rd Floor
Los Angeles, CA 90041-1720
Phone (323) 543-2800
Other names 1
- Hillsides Support Services Center
National Provider Directory
National Provider Directory- Tax ID family
- Hillsides
Other organizations with this tax ID 8
Organizations that report the same tax identification number in the National Provider Directory.
-
- Adolescent and Children Mental Health Clinic/Center
- Irwindale, CA
- NPI 1083158810
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Palmdale, CA
- NPI 1285289801
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Pasadena, CA
- NPI 1386463099
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Pasadena, CA
- NPI 1477023265
-
- Mental Illness Community Based Residential Treatment Facility
- Pasadena, CA
- NPI 1639613821
-
- Community/Behavioral Health Agency
- Pomona, CA
- NPI 1700270188
-
- Community/Behavioral Health Agency
- Los Angeles, CA
- NPI 1720707987
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Commerce, CA
- NPI 1972047165
Locations
815 Colorado Blvd
Fl 3
Los Angeles, CA 90041
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Clinical Social Worker
- Pasadena, CA
- NPI 1497885883
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1361750400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1609804800000",
"number": "1619217841",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "815 COLORADO BLVD",
"address_2": "3RD FLOOR",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900411720",
"telephone_number": "323-543-2800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "815 COLORADO BLVD",
"address_2": "3RD FLOOR",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900411720",
"telephone_number": "323-543-2800"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HILLSIDES",
"organizational_subpart": "NO",
"enumeration_date": "2013-02-25",
"last_updated": "2021-01-05",
"certification_date": "2021-01-05",
"status": "A",
"authorized_official_last_name": "ROTH",
"authorized_official_first_name": "STACEY",
"authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
"authorized_official_telephone_number": "323-254-2274",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Hillsides Support Services Center",
"code": "5",
"type": "Other Name"
},
{
"organization_name": "Hillsides Support Services Center",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.